VIKY DIVERTIE ARNP
NPI 1790722684
Nurse Practitioner in Jacksonville, FL

Q: What is Viky Divertie's NPI number?

The NPI number for Viky Divertie is 1790722684. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Q: What is Viky Divertie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Viky Divertie was last updated on September 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 01, 2006

12303 SAN JOSE BLVD, JACKSONVILLE, FL 32223(904) 288-0277(904) 288-0414 Get Directions Write a Review

NPPES record last updated: September 9, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Viky Divertie Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIKY DIVERTIE ARNP (NPI 1790722684) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (ARNP2180342) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1790722684

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameVIKY DIVERTIECredential: ARNP

Location Address12303 SAN JOSE BLVDJacksonville, FL 32223-2640

Mailing Address8711 Perimeter Park Blvd, Suite 6Jacksonville, FL 32216-6388 · (904) 223-2330 · Fax (904) 223-3149

Phone(904) 288-0277

Fax(904) 288-0414

Sole ProprietorNo

Enumeration DateJune 1, 2006

Last NPPES UpdateSeptember 9, 2010

✔ NPI 1790722684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · ARNP2180342

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

12303 SAN JOSE BLVD, Jacksonville, FL 32223

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Other Identifiers 3

Medicare PINE1343XFL

Medicare PINE1343FL

Medicare UPINS65122

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADAM RYAN GLASSICK PA-C

Physician Assistant

12303 SAN JOSE BLVD
JACKSONVILLE, FL 32223

Duval County (904) 288-0277

MS. GIRIJA CHANDRAN M.D.

Family Medicine

12303 SAN JOSE BLVD
JACKSONVILLE, FL 32223

Duval County (904) 223-2330

SOLANTIC OF JACKSONVILLE, LLC

Clinic/Center (Urgent Care)

12303 SAN JOSE BLVD
JACKSONVILLE, FL 32223

Duval County (904) 288-0277

SOLANTIC URGENT CARE

Pharmacy

12303 SAN JOSE BLVD
JACKSONVILLE, FL 32223

Duval County (904) 228-0277

LURAJEAN AMAM CRAVENS CNP

Nurse Practitioner (Family)

12303 SAN JOSE BLVD
JACKSONVILLE, FL 32223

Duval County (904) 288-0717

MRS. PENNYE BROSCHE AREHART ARNP

Nurse Practitioner

12303 SAN JOSE BLVD, CARESPOT
JACKSONVILLE, FL 32223

Duval County (904) 306-7386

KURTIS HOSTETTER MD

Family Medicine

12303 SAN JOSE BLVD
JACKSONVILLE, FL 32223

Duval County (904) 288-0277

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Viky Divertie's NPI number?

The NPI number for Viky Divertie is 1790722684. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Viky Divertie located?

Viky Divertie practices at 12303 San Jose Blvd, Jacksonville, FL 32223. The listed phone number is (904) 288-0277.

What is Viky Divertie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Viky Divertie was last updated on September 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.